J Korean Foot Ankle Soc.  2006 Dec;10(2):250-254.

The Result of Total Contact Cast with High Concentrate Silver (Ag+) Coated Foam Dressing in Diabetic Foot Ulcers

• Kim JY
• Choi JH
• Lee KT
• Young KW
• Kim JS
• Rhee JJ

Abstract

PURPOSE: The treatment of diabetic foot ulcers with total contact cast has been reported to be associated with numerous undesirable complications. This study shows that our technique of total contact casting that incorporates high concentration silver coated foam dressing.
MATERIALS AND METHODS
Forty-four diabetic foot ulcers were treated with total contact cast along with high concentration silver coated foam dressing. Complication and healing rates were evaluated.
RESULTS
Eighty five percent of the ulcers healed within 6 weeks with an overall complication rate of 7%. There were only two cases (5%) of infection and no recurrent ulceration and no another site new pressure ulcer in our study.
CONCLUSION
Total contact casting incorporates high concentration silver coated foam dressing resulted in fewer complications rate and healing rate that is comparable to other studies.

Keyword

Diabetic foot ulcer; Total contact cast; Complication rate; Silver coated foam dressing

MeSH Terms

Bandages*
Diabetic Foot*
Pressure Ulcer
Silver*
Ulcer*
Silver